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The Effectiveness of COVID Vaccines
One of the common themes of SBM is that medical evidence can be very complex. In order to come to any robust conclusion about what the science says on any question you need to do a careful and thorough evaluation of all the relevant evidence, including plausibility as well as observational and experimental clinical evidence. Essentially we want to look at the...
Is (Conversion) Therapy Speech?
The US Supreme Court recently heard a case that could have devastating effects on the standard of care in medicine, and the indicators of where the justices fall are not good. The case is Chiles v Salazar, in which a licensed therapist is arguing that a Colorado law banning conversion therapy for gay and trans clients violates her free speech. So the...
Nobel Prize in Medicine: Peripheral Immune Tolerance
Each year I like to write a post about the Nobel Prize in Physiology or Medicine. While advocating for higher standards of science in medicine we tend to spend much of our time criticizing pseudoscience, so I like to balance that by occasionally just celebrating great medical science, and the Nobel Prize is a great opportunity. The 2025 award for physiology or...
The Cholesterol Wars Continue
As a first approximation it seems that the purpose of social media is to misrepresent medical information and to promote wellness gurus who basically have no idea what they are talking about. Part of the problem is that medical science is often complex, and the short attention-span format of social media often favors simple clean narratives. So “wellness influencers” dominate while genuine...
That Trump, RFK, Oz Presser
Yes, we have to talk about that press conference with Trump, RFK Jr and Dr. Oz., which some are characterizing as the absolutely worst firehose of medical misinformation coming from the White House in American history. I think that is fair. This was the presser we knew was coming, and many of us were dreading. It was worse than I anticipated. I wrote a...
Stem Cell Stroke Therapy
We have written quite a bit about fraudulent stem cell clinics. They have followed a typical pattern of overhyping new potential therapies, with some clinics going as far as selling fake stem cell treatments. Stem cells were a likely target – they sound extremely advanced, their potential is easy to understand, and you can use them to justify extreme claims of healing....
Tylenol and Autism
Earlier this year, HHS secretary RFK Jr. predicted that, “By September, we will know what has caused the autism epidemic and we’ll be able to eliminate those exposures.” Scientists have been researching autism for decades, including what factors are driving changes in diagnostic patterns. Promising such a major breakthrough in just six months is beyond ridiculous, and strongly implies that RFK Jr....
The Problem with Predatory Journals
The World Wide Web has proven to be a transformative communication technology (we are using it right now). At the same time there have been some rather negative unforeseen consequences. Significantly lowering the threshold for establishing a communications outlet has democratized content creation and allows users unprecedented access to information from around the world. But it has also lowered the threshold for...
First Pig Lung to Human Transplant
In the midst of all the controversy surrounding the science of healthcare, certain technologies continue to progress in the background, with the promise of transforming the practice of medicine. One of them is the development of genetically modified animals as a source for organ transplants. I most recently wrote about this earlier this year, specifically about an experiment to transplant a pig...
Rejecting The Null Hypothesis
In various contexts, for practical, philosophical, and logical reasons, there is a default assumption. In the criminal justice system, for example, someone is presumed innocent until proven guilty. Therefore we must act “as if” someone is innocent until the burden of proof is met that they are indeed guilty of the specific crime of which they are accused. In medicine, if someone...